Taking Action on Overusehttps://takingactiononoveruse.org
A Framework for ChangeFri, 12 Jan 2018 21:21:38 +0000en-UShourly1https://wordpress.org/?v=4.9.3/userfiles/favicon1-32px.pngTaking Action on Overusehttps://takingactiononoveruse.org
3232What does “care teams taking ownership” look like?https://takingactiononoveruse.org/2017/12/11/what-does-care-teams-taking-ownership-look-like/
Mon, 11 Dec 2017 22:29:05 +0000http://takingactiononoveruse.org/?p=922The ultimate goal of the Taking Action on Overuse framework is to help your organization build a culture where care teams take ownership for reducing low value care. But what does this look like? Our research of medical overuse reduction efforts across the country revealed common indicators of success that include:

Care teams feel safe to speak up about overuse and enact solutions.
Care teams engage in problem solving around overuse within a non-threatening environment where they exchange ideas about actions they can take to reduce overuse . Leadership can help by creating time dedicated to discussing overuse, emphasizing blame-free discussions, and stressing that voices from every level of the care team are welcome to participate. Read more about building a culture of trust, innovation, and improvement here.

Resources are dedicated to consistent measurement of overuse.
Care teams that have taken ownership around overuse regularly meet to review trusted measures of use. Leadership has committed resources for the collection, analysis, and distribution of specific data that care teams can use to inform their reduction efforts. Read more about committing resources to measurement here.

Reducing overuse becomes part of their professional identity
Invested care teams consider providing the right level of care as part of how they define themselves as health care professionals and they proactively seek tools and metrics to help them address low-value care.

]]>Why are sense-making conversations at the heart of our framework?https://takingactiononoveruse.org/2017/08/17/why-are-sense-making-conversations-at-the-heart-of-our-framework/
Thu, 17 Aug 2017 18:17:23 +0000http://takingactiononoveruse.org/?p=890Reducing medical overuse is a long-term proposition. It requires us to challenge our long-held beliefs and practices regarding tests, medications and treatments, and discuss their potential for harm. It involves examining trusted, reliable data about overused services and making sense of the story they tell. And it necessitates new approaches to what were once standard ways of delivering care.

Sense-making conversations are the key to achieving these goals. These conversations:

]]>What are sense-making conversations?https://takingactiononoveruse.org/2017/07/25/what-are-sense-making-conversations/
Tue, 25 Jul 2017 17:19:42 +0000http://takingactiononoveruse.org/?p=881Sense-making literally means making sense of events. A typical conversation during our day is a simple exchange of information or feelings. Sense-making conversations are different in that they are reflective and often generative, with participants’ ideas informing and building on one another. The main result: Participants arrive at a common understanding of what the events and data mean—for them, for their patients, for health care—and have a foundation for taking action.

In the case of medical overuse, care providers may leave a sense-making conversation with the shared understanding of how they contribute to the overuse of a particular service and the degree to which their patients are exposed to potential harm. Through further discussion they may develop new ideas and approaches for reducing the unnecessary overuse of a particular service—and begin to act on them.

]]>We are partnering with three health care organizations to implement the Taking Action on Overuse Frameworkhttps://takingactiononoveruse.org/2017/01/10/three-health-care-organizations-are-partnering-with-us-to-implement-the-taking-action-on-overuse-framework/
Tue, 10 Jan 2017 18:14:27 +0000http://pub37.hotpepper.com/?p=422In 2017 we are working with UCLA Health, Swedish Hospital System, and Missouri Primary Care Association to learn from their experiences and develop a complete change package with tools for implementation. Check back here for updates on what we are learning!
]]>Healthcare: Journal of Delivery Science and Innovation features the Taking Action on Overuse Frameworkhttps://takingactiononoveruse.org/2017/01/10/healthcare-journal-of-delivery-science-and-innovation-features-the-taking-action-on-overuse-framework/
Tue, 10 Jan 2017 18:12:09 +0000http://pub37.hotpepper.com/?p=419Our article offers an introduction to the Framework and how we developed it. Share this summary with colleagues, residents, and others working to reduce medical overuse…read article
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